Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN BANGHART, PHYSICIAN ASSISTANT
ActivePhysician Assistant · PAFB, CO
Registration Details
- NPI Number
- 1346888088
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2019 (6.3700835368706 yrs)
- Last Updated
- Jun 30, 2022
- License
-
1164974
Practice Information
- Address
-
21ST MDG 559 VINCENT STPAFB, CO, 809141540Browse CO providers · Browse ZIP 80914
- Phone
- 7195565898
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.